Journal of the Formosan Medical Association
Volume 106, Issue 3, Supplement , Pages S29-S32, 2007

Isolated Femoral Nerve Neuropathy After Intra-aortic Balloon Pump Treatment

  • Ho-Tsung Hsin

      Affiliations

    • Cardiovascular Center, Far-Eastern Memorial Hospital, Taipei, Taiwan
    • ,
  • Juey-Jen Hwang

      Affiliations

    • Division of Cardiology, Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Juey-Jen Hwang, Division of Cardiology, Department of Internal Medicine, National Taiwan University Hospital, 7 Chung-Shan South Road, Taipei 100, Taiwan

Received 12 August 2005; received in revised form 15 November 2005; accepted 10 January 2006.

Article Outline

Intra-aortic balloon pump (IABP)-related neuropathy is an infrequent complication, and the development of motor deficits is even rarer in such cases. We report a 37-year-old man with anterior ST-elevation myocardial infarction who received emergent percutaneous coronary intervention and IABP counterpulsation. Weakness and numbness developed after IABP removal despite lack of evidence of ischemia in the involved extremity. Nerve conduction velocity study and electromyogram led to the diagnosis of femoral nerve neuropathy. The neurologic deficits recovered after 6 months of rehabilitation. This case illustrates the importance of bedside neurologic examination of the involved extremity for early detection of possible injury to the femoral nerve in patients after IABP treatment and insertion of larger bore catheter. [J Formos Med Assoc 2007;106(3 Suppl):S29-S32]

Key Words:  femoral nerve , IABP , neuropathy

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References 

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PII: S0929-6646(09)60363-6

doi:10.1016/S0929-6646(09)60363-6

Journal of the Formosan Medical Association
Volume 106, Issue 3, Supplement , Pages S29-S32, 2007

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